| NPI | 1891946315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MO 2007033581) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2007033581) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2023-05-11 |