NPI | 1669139143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 343437) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA14980) |
Enumeration Date | 2021-11-19 |
Last Update Date | 2025-02-07 |