| NPI | 1669059119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9114091) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 1669059119) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-08-27 |