| NPI | 1255030078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM PA2025-0055) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM PA2025-0055) |
| 363A00000X Physician Assistant (Licence: NM PA2025-0055) | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2025-08-13 |