| NPI | 1609841246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA11860) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX PA11860) |
| 363AM0700X Physician Assistant, Medical (Licence: CO 1137) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2018-05-23 |