NPI | 1609458207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14998) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-04-22 |
Last Update Date | 2023-08-30 |