| NPI | 1316497985 |
|---|---|
| Former Name | LORALYN BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA16989) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT84288) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2024-07-01 |