| NPI | 1528574761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12960) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 021593-1) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2023-09-18 |