| NPI | 1811323108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10328) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200648) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2023-10-03 |