| NPI | 1184721573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX pa06687) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT med-pac-lic-175267) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2026-08-16 |