| NPI | 1487257531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: VA 0110007483) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD C0007730) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2022-06-15 |