| NPI | 1851401426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA PA.200297) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA01983) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-03-03 |