NPI | 1093016487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-360) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12458) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2022-08-11 |