| NPI | 1124472428 |
|---|---|
| Former Name | AUDREY MCGOWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15964) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2591) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2023-10-16 |