NPI | 1174092837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 4341) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MP00500000) |
Enumeration Date | 2018-11-24 |
Last Update Date | 2019-08-21 |