| NPI | 1447583547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4078) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 4078) |
| 363AS0400X Physician Assistant, Surgical (Licence: TN 4078) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2024-10-31 |