| NPI | 1861813396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA65316) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08860) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2025-01-24 |