| NPI | 1023970605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA19577) |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2026-01-14 |