NPI | 1740432814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C05240) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06008) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-10-21 |
Last Update Date | 2024-02-13 |