| NPI | 1538452206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11615) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08971) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2021-10-07 |