| NPI | 1881739274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ID PA-659) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ID PA659) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-12-05 |