NPI | 1316324262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX 3040650) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-29 |
Last Update Date | 2019-09-23 |