NPI | 1033390398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA200181) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA07206) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2025-01-07 |