| NPI | 1871082123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-868) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA11380) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-11-21 |