| NPI | 1518503028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7675) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14842) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2025-05-17 |