| NPI | 1972083152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4739) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 4739-23) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2023-03-07 |