| NPI | 1336918465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA67638) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2026-03-17 |