NPI | 1205388279 |
---|---|
Former Name | AMBER MARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX 1123045) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2016-10-26 |
Last Update Date | 2024-07-08 |