| NPI | 1447490404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11095) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 1086040) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-08-10 |