| NPI | 1427799329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 121599) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 121599) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-08-31 |