| NPI | 1952486607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09151) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 936) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-07-22 |