| NPI | 1013487867 |
|---|---|
| Former Name | PAIGE K HARRELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA12438) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX PA12438) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-06-22 |