| 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 |