| NPI | 1750437596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06051) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 008449) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-09-11 |