NPI | 1972680858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA04895) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04895) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2023-05-23 |