| NPI | 1396055216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 4740) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA10233) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2017-02-02 |