| NPI | 1679397855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA18977) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX PA18977) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2025-10-01 |