| NPI | 1710060967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14327) |
| Additional Taxonomies | 2085R0001X (Licence: NC 101727) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2026-01-07 |