| NPI | 1427869031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18627) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 65669) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-03-27 |