NPI | 1487884672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05821) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA05821) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2017-02-01 |