| NPI | 1265011860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 11062) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14412) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2025-07-07 |