| NPI | 1851726400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09692) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-004703) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2023-07-27 |