| NPI | 1669407441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03308) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2026-0058) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2026-06-11 |