| NPI | 1588939813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08599) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0004706) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2014-02-27 |