| NPI | 1851341648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA03577) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 1530) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-04-29 |