NPI | 1720379126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07312) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2011-04-20 |
Last Update Date | 2012-05-14 |