| NPI | 1124344734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06737) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00806000) |
| 363A00000X Physician Assistant (Licence: CA 66111) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2026-05-18 |