| NPI | 1164165197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15673) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-27 |