| NPI | 1346906633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA063112) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MA063112) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2024-10-14 |