| NPI | 1972186237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18098) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL PA9116910) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9116910) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-11-18 |