| NPI | 1992373906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8409) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14404) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-11-18 |