| NPI | 1871103028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR PA-926) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA13806) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: AR PA-926) | |
| 363AM0700X Physician Assistant, Medical (Licence: AR PT2020-048) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-12-01 |