| NPI | 1144799842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12531) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2019-02-06 |