| NPI | 1023881448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX PA17751) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-10-30 |