NPI | 1679536346 |
---|---|
Other Name | ANGI L COURTNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA01747) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001797) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2020-02-20 |