| NPI | 1144624479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX pa09287) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2019-05-07 |