| NPI | 1346271285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04400) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA 19901) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA04400) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-10-26 |