| NPI | 1013659937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9114955) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL PA9114955) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-04-18 |