| NPI | 1437424868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07946) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 8168) |
| 207P00000X Emergency Medicine (Licence: NC 0010-07946) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2018-03-17 |