NPI | 1588161087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11960) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX PA11960) |
363AS0400X Physician Assistant, Surgical (Licence: TX PA11960) | |
Enumeration Date | 2018-04-11 |
Last Update Date | 2025-08-05 |