| NPI | 1922395359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA PA70008286) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001385A) |
| 207X00000X Orthopaedic Surgery (Licence: NY 029377-01) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2025-10-15 |