| NPI | 1942529946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA08547) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 008388-1) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2022-02-25 |