NPI | 1578983227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09202) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2014-04-21 |
Last Update Date | 2023-01-19 |