| NPI | 1285930842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07131) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA 0004592) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2016-07-23 |