| NPI | 1023592425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12145) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX PA12145) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2022-11-08 |