| NPI | 1699768051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2002-0018) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NM PA2002-0018) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2018-01-08 |