| NPI | 1093014110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51674) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07175) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2022-02-07 |