| NPI | 1942810445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 63039) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA16182) |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2024-08-29 |