| NPI | 1407118136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18247) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22158) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-12-02 |