| NPI | 1144658295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08638) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX PA08638) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2018-05-14 |