NPI | 1811280324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA09333) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2011-05-17 |
Last Update Date | 2022-03-23 |