NPI | 1326324013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08556) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2011-0048) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2015-05-04 |