NPI | 1265235048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18987) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2025-03-28 |
Last Update Date | 2025-06-16 |