| NPI | 1740149335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA20030) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX PA20030) | |
| Enumeration Date | 2026-01-19 |
| Last Update Date | 2026-10-08 |