| NPI | 1083498398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9117921) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL PAT9117921) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-12-05 |