| NPI | 1922059369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07863) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 399) |
| 363A00000X Physician Assistant (Licence: AZ 3042) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-09-15 |