| NPI | 1881979235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22481) |
| 208800000X Urology (Licence: OR PA169800) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2014-10-20 |