| NPI | 1366870305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: TN 819) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 819) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2020-05-14 |