| NPI | 1437617578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6147) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14990) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2024-09-17 |