| NPI | 1093016487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-360) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12458) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2022-08-11 |