| NPI | 1659090587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15982) |
| Additional Taxonomies | 261QX0203X Clinic/Center, Oncology, Radiation (Licence: TX PA15982) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX PA15982) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX PA15982) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX PA15982) | |
| 261QX0200X Clinic/Center, Oncology (Licence: TX PA15982) | |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA15982) | |
| 363AS0400X Physician Assistant, Surgical (Licence: TX PA15982) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX PA15982) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-01-02 |