| NPI | 1962790956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207P00000X Emergency Medicine (Licence: TX PA07244) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2024-07-22 |