NPI | 1851866511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA56119) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA PA56119) |
Enumeration Date | 2018-10-09 |
Last Update Date | 2023-02-18 |