| NPI | 1306826557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03305) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX PA033055) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA033055) | |
| 363A00000X Physician Assistant (Licence: CO 2408) | |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2013-07-03 |