| NPI | 1144608233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56525) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11179) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-11-27 |