| NPI | 1740959915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-117171) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 117171) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-02-19 |