| NPI | 1467648006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-776) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA05316) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2021-05-27 |