NPI | 1306314398 |
---|---|
Former Name | ANGELA STRAKBEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX 15090) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 56253) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2023-04-20 |