| NPI | 1992379135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10351) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: GA 10351) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2025-01-24 |