| NPI | 1275909483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16659) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005579) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-03-28 |