| NPI | 1184893414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00655) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA00655) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 00655) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2013-10-17 |