| NPI | 1730810912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16682) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX PA16682) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-03-11 |