| NPI | 1962598847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002953) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 0010-00376) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-07-06 |