| NPI | 1649588492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16878) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C04448) |
| 363A00000X Physician Assistant (Licence: DC PA030689) | |
| 363A00000X Physician Assistant (Licence: NY 018525) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2023-07-25 |