| NPI | 1740307362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112154) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |