| NPI | 1952554230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05980) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2017-12-08 |