| NPI | 1922736677 |
|---|---|
| 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 PA18879) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2025-07-21 |