| NPI | 1295894756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA04497) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA00470) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-10-29 |