| NPI | 1942318977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 00704-1) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-01-03 |