NPI | 1194418467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16929) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 1207675) |
Enumeration Date | 2023-06-01 |
Last Update Date | 2024-08-29 |