| NPI | 1851527469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07394) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MO 2009003431) |
| 207P00000X Emergency Medicine (Licence: MO 2009003431) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2013-06-24 |