| NPI | 1730312992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003058) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VA 0110003058) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2023-08-10 |