NPI | 1528470531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA19065) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60414727) |
Enumeration Date | 2014-05-25 |
Last Update Date | 2025-07-16 |