| NPI | 1427452010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09486) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA09486) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2024-06-07 |