| NPI | 1376197202 |
|---|---|
| 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: MA PA7408) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2025-08-04 |