| NPI | 1891931531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NH 1232) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: MA 3705) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2021-02-12 |