| NPI | 1235478645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX PA08269) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2020-02-04 |