| NPI | 1528616570 |
|---|---|
| Former Name | SOFIA ROSE NEICHERIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13314) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2023-07-12 |