| NPI | 1851444814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 0810) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA 2232) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2011-02-04 |