| NPI | 1558610691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08039) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015648) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2018-04-04 |