| NPI | 1992973044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16207) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 10362) |
| 363A00000X Physician Assistant (Licence: WA TA10005363) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2024-08-08 |