| NPI | 1538721519 |
|---|---|
| Former Name | MARIA KAY BAER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA12918) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12918) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-05-16 |