| NPI | 1457344780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: TX PA00781) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX PA00781) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-05-02 |