| NPI | 1750429155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04786) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 63230) |
| 363A00000X Physician Assistant (Licence: FL PA9114501) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-09-13 |