| NPI | 1093282576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 56019) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 56019) |
| 208200000X Plastic Surgery (Licence: CA 56019) | |
| 363A00000X Physician Assistant (Licence: CA 56019) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-01-21 |