| NPI | 1659490423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA00206) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX PA00206TX) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-12-09 |