| NPI | 1093338667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 11936914-1206) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: UT 11936914-1206) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 11936914-1206) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-08-21 |