| 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 |