| NPI | 1285442624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA20445) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX PA20445) |
| 207X00000X Orthopaedic Surgery (Licence: TX PA20445) | |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2026-06-26 |