NPI | 1851992150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14768) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-11-03 |
Last Update Date | 2022-09-07 |