| NPI | 1235838251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16356) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX PA16356) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA16356) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-04-30 |