| NPI | 1245072693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065546) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MA065546) |
| 207X00000X Orthopaedic Surgery (Licence: PA OA008679) | |
| 363A00000X Physician Assistant (Licence: PA OA008679) | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-07-22 |