| NPI | 1841291168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA02721) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA02721) |
| 207Q00000X Family Medicine (Licence: TX 02721) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-09-26 |