| NPI | 1740858067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA19189) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-05-30 |