| NPI | 1427689686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13853) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 61143) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-09-13 |