| NPI | 1922798362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17562) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 461440) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-03-05 |