| NPI | 1952297152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18822) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX PA18822) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-08-06 |