| NPI | 1932642907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4792) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11156) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2025-10-14 |