| NPI | 1932549185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 006855) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 2493) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2022-01-10 |