NPI | 1790541365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17715) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX PA17715) |
Enumeration Date | 2024-02-22 |
Last Update Date | 2024-03-19 |