| NPI | 1982642708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04687) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-07-07 |