| NPI | 1932434537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA10274) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AR P-T0929) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2021-06-28 |