| NPI | 1922653021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14015) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN PA14015) |
| 207Q00000X Family Medicine (Licence: TX PA14015) | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2025-05-13 |