| NPI | 1003362393 |
|---|---|
| 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: WV 1998) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-04-04 |