NPI | 1144735580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00788) |
Additional Taxonomies | 208600000X Surgery (Licence: TX 17-102) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2017-12-07 |
Last Update Date | 2020-01-16 |