| NPI | 1790417335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA16016) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX PA16016) |
| 363AM0700X Physician Assistant, Medical | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2025-01-08 |