| NPI | 1700068020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA02159) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA02519) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2024-11-18 |