| NPI | 1093290413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA19415) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9113228) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2026-06-04 |