| NPI | 1922578970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 7558) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 023037) |
| 363A00000X Physician Assistant (Licence: NY 023037) | |
| 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0007558) | |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2023-03-06 |