| NPI | 1770351322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX PA19028) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2025-04-04 |