| NPI | 1619753498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9117799) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL PA9117799) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-11-21 |