| NPI | 1417100868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2008-0036) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NM PA2008-0036) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2023-11-15 |