| NPI | 1407426901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14684) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PATEMP) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-05-29 |