| NPI | 1033432877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18114) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013856) |
| 363A00000X Physician Assistant (Licence: PA MA054872) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2025-02-12 |