| NPI | 1609208198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08588) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA55984) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2025-11-10 |