NPI | 1386112704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12439) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 1285733287) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2025-09-01 |