| NPI | 1447975453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011381) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5601011381) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-11-16 |