| NPI | 1164857959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00853) |
| Additional Taxonomies | 175F00000X Naturopath |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2021-10-04 |