| NPI | 1588388151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT Med-PAC-LIC-116235) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MT student) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-01-24 |