| NPI | 1386122851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12125) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX PA12125) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2022-01-05 |