NPI | 1477546000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110447) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA00857) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2024-08-20 |