| NPI | 1952007643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX P419457) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA395754) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2025-11-03 |