| NPI | 1104214402 |
|---|---|
| Former Name | LENA ABRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09496) |
| Additional Taxonomies | 2085R0001X (Licence: TX PA09496) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2024-12-18 |