| NPI | 1992025944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA16006) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9105245) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2024-09-24 |