NPI | 1770819724 |
---|---|
Former Name | AMBER WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06463) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2009-10-27 |
Last Update Date | 2024-06-03 |