| NPI | 1437798295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16874) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA0456) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2023-12-14 |