| NPI | 1780324012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15622) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX PA15622) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-09-28 |