| NPI | 1871398586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA20395) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2026-07-15 |