NPI | 1346797610 |
---|---|
Former Name | HANNAH ELIZABETH MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10745) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA10745) |
Enumeration Date | 2016-09-05 |
Last Update Date | 2021-02-26 |