| NPI | 1114517539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MA062407) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2023-03-29 |