| NPI | 1073021697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2854) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 2854) |
| 207X00000X Orthopaedic Surgery (Licence: SC 2854) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2022-08-04 |