NPI | 1194737247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03187) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA03187) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2017-01-17 |