| NPI | 1851620553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00176) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA00176) |
| 207Q00000X Family Medicine (Licence: IA 000917) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2025-10-14 |