| NPI | 1013397447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10008) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2016-07-06 |