| NPI | 1205146081 |
|---|---|
| Former Name | FELICIA KORTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04367) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX pa04364) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA04367) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2022-12-14 |