| NPI | 1770136541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.005873) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO PA.0005873) |
| 207X00000X Orthopaedic Surgery (Licence: CO PA.0005873) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2022-08-18 |