| NPI | 1821295296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 001893) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CT 001893) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-03-13 |