| NPI | 1407328578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119277) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12717) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2024-10-18 |