NPI | 1245897131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14595) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2019-05-26 |
Last Update Date | 2024-03-04 |