| NPI | 1336585660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2669) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08413) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2016-07-29 |