| NPI | 1376226936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 13455633-1206) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 13455633-1206) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2024-03-04 |