| NPI | 1881291938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14020) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 714976) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2025-07-14 |