| NPI | 1952568909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA03296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX PA03296) |
| 207Y00000X Otolaryngology (Licence: TX PA03296) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-03-28 |