| NPI | 1326432329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12469) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018537-1) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2021-01-05 |