| NPI | 1215531967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 028962-01) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-11-22 |