NPI | 1780786640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA 03597) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2021-01-22 |