| NPI | 1013006634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MA050982) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA050982) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-10-15 |