| NPI | 1821310947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08416) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 1905) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2023-09-21 |