| NPI | 1528681525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15212) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9113158) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2024-01-02 |