| NPI | 1215509468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15382) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX PA15832) |
| 207Y00000X Otolaryngology (Licence: TX PA15382) | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2023-11-14 |