| NPI | 1669434262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA214203) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA01034) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-05-09 |