NPI | 1760459564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA1324) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2021-04-14 |