| NPI | 1033751201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15760) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006914) |
| 363A00000X Physician Assistant (Licence: TX PATEMP) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-06-07 |