| NPI | 1851039713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 13596306-1206) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 13596306-1206) |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2024-03-04 |