| NPI | 1245945153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18155) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 4891) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-10-17 |