| 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 |