| NPI | 1801309315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TX PA11696) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11696) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-06-21 |