NPI | 1891981023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001002899) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA05306) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2019-02-20 |