| NPI | 1043324924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1672) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06505) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-11-08 |