NPI | 1346707908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13188) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-03-01 |
Last Update Date | 2024-06-10 |