| NPI | 1891348165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MP00524400) |
| 363A00000X Physician Assistant (Licence: CA 65059) | |
| 363A00000X Physician Assistant (Licence: TX PATEMP) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-10-01 |