| NPI | 1295558997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA18734) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX PA18734) |
| Enumeration Date | 2024-11-02 |
| Last Update Date | 2025-05-05 |