| NPI | 1093174278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13068) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2016-014) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2022-09-27 |