| NPI | 1497940316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA08693) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085002695) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2016-08-15 |