| NPI | 1720075591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX PA02127) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2022-01-26 |