| NPI | 1457494197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CA PA17796) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA PA17796) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-04-29 |