NPI | 1942788575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV PA2012) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV PA2012) |
363AS0400X Physician Assistant, Surgical (Licence: NV PA2012) | |
Enumeration Date | 2018-08-06 |
Last Update Date | 2023-09-13 |