| NPI | 1477286920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15849) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TX PA15849) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |