| NPI | 1760135842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX 90418-283224121911) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2022-01-30 |