| NPI | 1407187313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14279) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013744-1) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2023-09-18 |