NPI | 1770351322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX PA19028) |
Enumeration Date | 2023-12-13 |
Last Update Date | 2025-04-04 |