| NPI | 1457075624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16029) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX PA16029) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-11-15 |