| NPI | 1427274141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08632) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA20070008) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-11-24 |