NPI | 1194080531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07963) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 07963) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2015-06-08 |