| NPI | 1528774171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17365) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX PA17365) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-12-13 |