| NPI | 1740560820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA11844) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01189) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2018-04-03 |