| NPI | 1497117154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5540) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10371) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-03-27 |