| NPI | 1396070850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104354) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA16241) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2023-07-10 |