| NPI | 1013361112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60463) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10411) |
| 363A00000X Physician Assistant (Licence: NE 2234) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2022-10-13 |