NPI | 1811549959 |
---|---|
Former Name | REBECCA ELIZABETH BORDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12947) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-07-09 |
Last Update Date | 2022-05-26 |