| NPI | 1699233528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 60983) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2023-07-31 |