| NPI | 1174899330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07755) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 54916) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2023-04-19 |