| NPI | 1932403227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11390) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21356) |
| Enumeration Date | 2011-01-01 |
| Last Update Date | 2024-06-10 |