| NPI | 1356427934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA06362) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA12217) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-08-25 |