NPI | 1336709070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15243) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 7417) |
Enumeration Date | 2019-06-15 |
Last Update Date | 2024-08-20 |