| NPI | 1306155080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14730) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2010031963) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2026-01-12 |