| NPI | 1518131945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06337) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-336) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-03-11 |