| NPI | 1013317262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD C07454) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085005149) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA 54000) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2024-02-27 |