| NPI | 1861673436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA54447) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA01910) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2023-08-02 |