| NPI | 1336491919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004888) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD C04888) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2022-08-16 |