| NPI | 1225636228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061606) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MA061606) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2024-09-18 |