| NPI | 1366631293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031339) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA18194) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2025-04-24 |