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 |