| NPI | 1568231546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17468) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: TX PA17468) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-05-17 |