| NPI | 1457521775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115341) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA05581) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2022-01-28 |