| NPI | 1437460300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06750) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX Applicant) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2011-10-24 |