| NPI | 1093136426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 59481) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08839) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2023-08-23 |