| NPI | 1629304811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06450) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA06450) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2025-03-14 |