| NPI | 1366847220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX Pa09579) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2022-01-06 |