| NPI | 1275027781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14145) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60923853) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-02-18 |