| NPI | 1881819498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110840351) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: DC PA19) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-04-24 |