| NPI | 1629576673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V7900) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2025-05-14 |