NPI | 1396718144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA05399) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1096725) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2020-04-20 |