| NPI | 1740959881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18498) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007115) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2025-07-02 |