| NPI | 1558736280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13525) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12876) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2020-05-04 |