| NPI | 1881078038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX PA18722) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2025-07-07 |