| NPI | 1477061125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: UT 10656650-1206) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: UT 10656650-1206) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2021-12-20 |