| NPI | 1396813960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA07662) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA18061) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-08-13 |