| NPI | 1922460641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10453) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-06-13 |