| NPI | 1801592613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17074) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA064194) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-04-02 |