| NPI | 1558081687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5853) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 5853-23) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-02-06 |