| NPI | 1467430421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09280) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2019-09-25 |