NPI | 1093188831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10191) |
Enumeration Date | 2015-11-02 |
Last Update Date | 2022-12-02 |