| NPI | 1891021606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52353) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06281) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2025-02-10 |