NPI | 1801685110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA19092) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX PA19092) |
Enumeration Date | 2025-05-02 |
Last Update Date | 2025-07-01 |