| NPI | 1427013705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NM PA2003-0019) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA-2003 019) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2014-02-04 |