NPI | 1932984622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17119) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-08-30 |
Last Update Date | 2025-08-23 |