| NPI | 1538317128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05340) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 21827) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2026-05-01 |