NPI | 1518239607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C02358) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07277) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2024-10-22 |