NPI | 1851861538 |
---|---|
Former Name | CHERRELL MAYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12557) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2018-11-26 |
Last Update Date | 2021-09-30 |