| NPI | 1275960460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13033) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C000-5200) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2022-09-21 |