| NPI | 1326533480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 5830482-1206) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 363AM0700X Physician Assistant, Medical (Licence: UT 5830482-1206) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2022-04-05 |