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 |