NPI | 1477013456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00777) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS PA00777) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2024-02-20 |