| NPI | 1023632874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA005440) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OA005440) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2025-08-13 |