| NPI | 1184116063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM PA2023-0018) |
| 363A00000X Physician Assistant (Licence: NM PA2023-0018) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-03-24 |