| NPI | 1891946190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 1361) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 1361NEP) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2023-08-10 |