| NPI | 1902829195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA19344) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00122700) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2026-08-19 |