| NPI | 1477765352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 30962) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-02-24 |