| NPI | 1265213185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-13834) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-13834) |
| 207X00000X Orthopaedic Surgery (Licence: NC 0010-13834) | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-04-03 |