| NPI | 1770318800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18253) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX PA18253) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-12-10 |