| NPI | 1851703854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10762) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51603) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2016-12-22 |