| NPI | 1851795074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10234) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108302) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2023-04-07 |