| NPI | 1932241619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA56835) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04467) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-07-24 |