NPI | 1407460272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17179) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX PA17176) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-08-31 |
Last Update Date | 2023-10-12 |