| NPI | 1437228111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05387) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TX PA05387) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX PA05387) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-10-02 |