| NPI | 1427446087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-917) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14367) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-10-04 |