| NPI | 1578220430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: AZ 8643) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 8643) |
| Enumeration Date | 2021-11-25 |
| Last Update Date | 2022-02-16 |