| NPI | 1780338012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO PA.0007425) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 12680501-1206) |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2022-10-07 |