| NPI | 1386825909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08489) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 10356) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2025-06-17 |