NPI | 1396393351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13340) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TX PA13340) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-09-03 |
Last Update Date | 2021-03-29 |