| NPI | 1376522441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: TX 06681) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2024-06-24 |