| NPI | 1255087102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 9216) |
| 363A00000X Physician Assistant (Licence: CA PA62629) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-06-13 |