| NPI | 1982236113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA PA57756) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA57756) |
| 363A00000X Physician Assistant (Licence: UT 13601053-1206) | |
| 363A00000X Physician Assistant (Licence: TX PA17361) | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-07-08 |