| NPI | 1194392506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18026) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC Pending) |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2024-08-09 |