| NPI | 1437302833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05977) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 027044) |
| 363A00000X Physician Assistant (Licence: NY 027044) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 027044) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2025-01-23 |