| NPI | 1700308905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11333) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX PA11333) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-01-04 |