| NPI | 1164016820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9549) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 9549) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-02-13 |