NPI | 1821392754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07030) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA07030) |
Enumeration Date | 2011-01-07 |
Last Update Date | 2022-01-26 |