| NPI | 1972500775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA002216L) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MA002216) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-07-28 |