| NPI | 1609172279 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX PA07137) | 
| Additional Taxonomies | 363A00000X Physician Assistant | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-01-31 | 
| Last Update Date | 2023-02-02 |