| NPI | 1598021537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56036) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07760) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-04-06 |