| NPI | 1841765351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13196) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111377) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2025-04-15 |