| NPI | 1376387472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 50.008815RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.008815RX) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-25 |