| NPI | 1083784102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA03643) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03643) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA03643) | |
| 207P00000X Emergency Medicine (Licence: TX PA03643) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-08-27 |