NPI | 1225158918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00296) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00296) |
246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 03-139) | |
246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00296) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2024-04-08 |