| NPI | 1689905044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107847) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2038) |
| 363A00000X Physician Assistant (Licence: TX PA06395) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2018-04-22 |