| NPI | 1548342694 |
|---|---|
| Former Name | FELICIA MALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04980) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1010) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-01-26 |