| NPI | 1861196842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16731) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA16731) |
| 207V00000X Obstetrics & Gynecology (Licence: TX PA16731) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-03-24 |