NPI | 1518962299 |
---|---|
Former Name | NINA BETH PARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA02296) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA02296) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2023-04-24 |