| NPI | 1386112704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12439) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 1285733287) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2025-09-01 |