| NPI | 1194290932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 022740) |
| 363A00000X Physician Assistant (Licence: NJ 25MP00926500) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2025-04-08 |