| NPI | 1275649808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10237) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010882) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-10-27 |