| NPI | 1922109206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: DE C50000438) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C03083) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-08-06 |