NPI | 1376277681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX PA16752) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-07-12 |
Last Update Date | 2024-08-27 |