| NPI | 1710238134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08012) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0009429) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2026-05-01 |