| NPI | 1699171843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52158) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA16654) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2023-03-27 |