| NPI | 1184050874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112061) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08782) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2020-09-01 |