| NPI | 1285266270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14590) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2443) |
| 363A00000X Physician Assistant (Licence: IA 100037) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2021-08-25 |