| NPI | 1164267357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18133) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX PA18133) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-08-02 |