NPI | 1790389989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA14356) |
Enumeration Date | 2020-11-28 |
Last Update Date | 2025-05-28 |