| NPI | 1871065375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO PA.0005409) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: CO PA.0005409) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2021-01-20 |