| NPI | 1699927434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03240) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053366) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2014-03-05 |