| NPI | 1134863368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C08510) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001506) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-08-31 |