| NPI | 1023584000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14993) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA031666) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-02-22 |