NPI | 1538294913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03820) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX PA03820) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2025-02-26 |