| NPI | 1205133295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07097) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX PA07097) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2021-04-09 |