| NPI | 1629297973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05262) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX PA05262) |
| 363A00000X Physician Assistant (Licence: NY 23011818) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-04-24 |