| NPI | 1609299551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08928) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2018-05-16 |