| NPI | 1609097070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA PA.200120) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: LA 200120) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-12-14 |