| NPI | 1083992267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07332) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9119067) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2025-01-29 |