| NPI | 1346713930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 333003) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12131) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-05-29 |