| NPI | 1225326473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07158) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2098) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2023-11-30 |