| NPI | 1295514503 |
|---|---|
| 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: 1220986) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2025-01-29 |