| NPI | 1780029710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA4782) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA PA4782) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2025-04-08 |