NPI | 1225214422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05471) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2008-01-17 |
Last Update Date | 2023-04-20 |