| NPI | 1134410848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11157) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA001726L) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2023-01-27 |