| NPI | 1619217387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09031) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA030707) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2017-10-20 |