| NPI | 1013256833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15748) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056002) |
| 363A00000X Physician Assistant (Licence: CA PA52481) | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2022-06-09 |