| NPI | 1518584259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA PA100223) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-06-06 |