| NPI | 1518130830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA18618) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA05826) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2024-05-24 |