| NPI | 1922022938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: TX PA01105) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA01105) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-05-22 |