| NPI | 1093476731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110009756) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0009814) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2026-06-02 |