| NPI | 1245060631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 14025069-1206) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: UT 140250691206) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-29 |