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Individual provider · Physician Assistant · Rosenberg, TX

NPI

1508463571

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA15041 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-10-02

Last updated

2022-04-23