NPI | 1538319587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05858) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA05858) |
Enumeration Date | 2008-09-26 |
Last Update Date | 2022-10-12 |