| NPI | 1922059369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3042) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07863) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-07-25 |