| NPI | 1346349297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX PA00873) |
| 208800000X Urology (Licence: TX PA00873) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-02-10 |