| NPI | 1538434162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA2443) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA12029) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2023-08-08 |