| NPI | 1538244702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 7524958-1206) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 003841) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-07-11 |