| NPI | 1649925223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA PA8683) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MA062932) |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-05-18 |