| NPI | 1265472880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08812) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: OR PA130028) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-01-26 |