| NPI | 1922316116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: 0010-02476) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 0010-02476) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2020-02-19 |