| NPI | 1528108339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA07936) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT07391) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-03-26 |