| NPI | 1326324013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08556) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2011-0048) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2015-05-04 |