| NPI | 1740361617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03836) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA03836) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX PA03836) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX PA03836) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-07-15 |