| NPI | 1285451245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA19416) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 1226050) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-09-26 |