| NPI | 1760153027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10920) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI AMD-1209) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2024-12-20 |