| NPI | 1215585237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.009589RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13347) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2025-10-29 |