| NPI | 1467511147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07916) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001000166) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-03-07 |