| NPI | 1750037073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15513) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX PA15513) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-09-08 |