| NPI | 1851800353 |
|---|---|
| Former Name | MARY LELA VALENTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00685) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12044) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2023-05-09 |