| NPI | 1124654603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16316) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9115080) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2023-05-02 |