| NPI | 1821723891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX 1325-P.A.) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 1325-P.A.) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2023-04-25 |