| NPI | 1477737278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AR PA-1271) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 6807697-1206) |
| 363A00000X Physician Assistant (Licence: TX PA06562) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2024-04-17 |