NPI | 1972093821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT84002) |
Enumeration Date | 2018-05-16 |
Last Update Date | 2024-09-16 |