| NPI | 1760451751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57682) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03421) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-11-12 |