| NPI | 1225564883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 009041) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA10477) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2018-12-05 |