NPI | 1477088144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11142) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2023-06-05 |