| NPI | 1154619922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2023-0300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4917) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2024-01-31 |