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 |