| NPI | 1528693520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17392) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX PA17392) |
| 363A00000X Physician Assistant (Licence: CA 57672) | |
| 363A00000X Physician Assistant (Licence: AZ 9292) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2025-03-13 |