NPI | 1689328650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA15331) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX PA15331) |
Enumeration Date | 2022-02-09 |
Last Update Date | 2024-03-26 |