| NPI | 1932796422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17887) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NV NA) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2024-06-25 |