| NPI | 1164145066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12174) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: GA 12174) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-02-10 |