| NPI | 1457775058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09085) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA09085) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2023-06-05 |