| NPI | 1912972340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA58457) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1247) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2021-11-16 |