| NPI | 1942766035 |
|---|---|
| Former Name | GRACE VICTORIA HIXSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031739) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2020-07-03 |