| NPI | 1225521057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15824) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005389) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2022-09-13 |