NPI | 1649564964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 311571) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA7387) |
Enumeration Date | 2011-06-03 |
Last Update Date | 2025-07-17 |