| NPI | 1942672928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10214) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2020-02-18 |