| NPI | 1083242663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5445) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: WI 70111568) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2021-07-19 |