| NPI | 1093100018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09824) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-03-07 |