| NPI | 1407454648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13967) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 1175858) |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2023-05-03 |