| NPI | 1093903023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AZ 3374) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3374) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2013-12-30 |