| NPI | 1003213059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PATEMP) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 52761) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2025-01-21 |