NPI | 1679687719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57987) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA02541) |
363AM0700X Physician Assistant, Medical (Licence: TX PA02541) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2024-12-04 |