| NPI | 1366743791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.003153) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2025-04-21 |