| NPI | 1174945166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA10587) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04692) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2016-12-01 |