| NPI | 1225338999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: UT 8228649-1206) |
| Additional Taxonomies | 104100000X Social Worker |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2021-10-21 |