| NPI | 1174226310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NC 0010-13147) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 0010-13147) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NC 0010-13147) | |
| 363A00000X Physician Assistant (Licence: NC 0010-13147) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-04-15 |