| NPI | 1942611918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZX2200X Specialist/Technologist, Other Orthopedic Assistant (Licence: FL PA9107844) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107844) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-10-21 |