| NPI | 1437878089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX PA18325) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2024-12-16 |