| NPI | 1003126061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA08073) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0004335) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2023-09-22 |