| NPI | 1508876616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04570) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-03-05 |