| NPI | 1699172734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA09467) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA09467) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2021-12-17 |