NPI | 1366030488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL 9116469) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-01-05 |
Last Update Date | 2024-02-01 |