NPI | 1427708981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA15587) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX PA15587) |
363A00000X Physician Assistant (Licence: TX PA15587) | |
Enumeration Date | 2022-03-28 |
Last Update Date | 2023-05-12 |