| NPI | 1467900423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA189964) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA16324) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2024-03-12 |