| NPI | 1316670284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 13565320-1206) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 13565320-1206) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-03-04 |