| NPI | 1346205291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9103130) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL PA424) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-07-19 |