| NPI | 1598078446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02186) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA06779) |
| 207Q00000X Family Medicine (Licence: NC NC9500621) | |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02186) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2014-01-17 |