| NPI | 1245079003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NE 1214055) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 1214055) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |