| NPI | 1184124174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11720) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX PA11720) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-11-28 |