| NPI | 1538615711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12334) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 4572) |
| 207X00000X Orthopaedic Surgery (Licence: GA 12334) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2024-09-17 |