NPI | 1871620823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 1261) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1261) |
207X00000X Orthopaedic Surgery (Licence: CO 1261) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2014-05-05 |