| NPI | 1235694209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8270) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13167) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2022-08-25 |