| NPI | 1295238186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11968) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-006107) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-01-27 |