NPI | 1376037101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14135) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA14135) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2023-05-13 |