| NPI | 1881047702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14379) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50004663RX) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2026-06-08 |