| NPI | 1407285737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056634) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MA056634) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2021-03-28 |