| NPI | 1427333087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA09294) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085004209) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2022-07-06 |