| NPI | 1720132012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200299) |
| Additional Taxonomies | 101Y00000X Counselor |
| 363A00000X Physician Assistant (Licence: TX PA06497) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-12-26 |