NPI | 1851761795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12771) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-10-05 |
Last Update Date | 2020-02-14 |