NPI | 1831739580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 321712) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA17926) |
Enumeration Date | 2020-01-10 |
Last Update Date | 2024-06-05 |