NPI | 1386153591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 306975) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA 306975) |
Enumeration Date | 2017-09-20 |
Last Update Date | 2022-05-12 |