| NPI | 1437276490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 3201) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-03-07 |