| NPI | 1386302651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA OA005840) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA OA005840) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2022-06-06 |