| NPI | 1821158015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA02286) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX PA02286) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL PA9103607) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-07-18 |