| NPI | 1376968081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: UT 9749510-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2023-07-28 |