| NPI | 1437779741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17333) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031849) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-11-17 |