| NPI | 1154975662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: UT 11444754-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2025-10-08 |