| NPI | 1134604176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12283) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2021-01-11 |