NPI | 1629432034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07851) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA07851) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2024-01-09 |