| NPI | 1174244750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA66187) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA17480) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-05-30 |