NPI | 1386625945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA03067) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03067) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2013-03-12 |