| NPI | 1578076675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55478) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 3466) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 55478) | |
| 363A00000X Physician Assistant (Licence: CA 55478) | |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2022-06-30 |