NPI | 1952897076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16801) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-07-02 |
Last Update Date | 2023-08-23 |