| NPI | 1831148030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 001525) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-10-23 |