| NPI | 1447324454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NM PA2006 0037) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2006-0037) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-01-16 |