NPI | 1497099709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07657) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 12411) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2023-06-06 |