| NPI | 1336521277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA10235) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200795) |
| 363A00000X Physician Assistant (Licence: TX PA10235) | |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2023-07-12 |