| NPI | 1477546000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110447) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA00857) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2024-08-20 |