| NPI | 1386895282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06749) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 012832-1) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2023-03-10 |