| NPI | 1003703786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110011127) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0110011127) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-12-02 |