| NPI | 1275784589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005397) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5601005397) |
| 208600000X Surgery (Licence: MI 5601005397) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2023-04-17 |