NPI | 1427891886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 14220062-1206) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-06-14 |
Last Update Date | 2025-08-20 |