| NPI | 1801408620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX PA13730) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2024-02-06 |