| NPI | 1639810807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA9335) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 4930) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-05-05 |