| NPI | 1831852698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64209) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15363) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-08-16 |