| NPI | 1073148300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX PA13478) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2023-11-16 |