NPI | 1093280604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60813) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13387) |
Enumeration Date | 2018-10-10 |
Last Update Date | 2022-10-14 |