| NPI | 1285206029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14723) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX PA14723) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-04-06 |