| NPI | 1508956210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03861) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM PA2002-0001) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM PA20020001) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-08-28 |