NPI | 1770341117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA17942) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA17942) |
Enumeration Date | 2024-03-11 |
Last Update Date | 2025-09-17 |