| NPI | 1922402189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13561) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109294) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-10-09 |