| NPI | 1164022257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13968) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX PA13968) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2022-10-04 |