| NPI | 1669594834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00166) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX PA00166) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-07-10 |