| NPI | 1154337863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA13080) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4683) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-03-01 |