| NPI | 1851826077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15717) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9110270) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-09-14 |