| NPI | 1326507070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18269) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI AMD-915) |
| 363A00000X Physician Assistant (Licence: MA PA7580) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2024-11-13 |