| NPI | 1174210785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18818) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX PA18818) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2025-02-20 |