| NPI | 1932606365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14622) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: NV PA2181) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-11-21 |