| NPI | 1306373642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18520) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX PA18520) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2025-02-13 |