| NPI | 1477713790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00563) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-01-05 |