| NPI | 1225518848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA PA6718) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-12-03 |