| NPI | 1568499135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA09200) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9075) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-03-11 |