| NPI | 1154668440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2221) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA19136) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2025-06-03 |