| NPI | 1699962548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA03197) |
| 363AM0700X Physician Assistant, Medical (Licence: AZ 2491) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-01-23 |