| NPI | 1124720107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17997) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-1169) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-06-27 |