| NPI | 1679161921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA14831) |
| 207R00000X Internal Medicine (Licence: TX PA14831) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-02-20 |