NPI | 1144624479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX pa09287) |
363A00000X Physician Assistant | |
Enumeration Date | 2014-10-15 |
Last Update Date | 2019-05-07 |