| NPI | 1568170785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18465) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 4889) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-09-24 |