NPI | 1043002959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA19459) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2025-05-19 |
Last Update Date | 2025-08-25 |