NPI | 1679397855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA18977) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX PA18977) |
Enumeration Date | 2024-11-13 |
Last Update Date | 2025-10-01 |