| NPI | 1386200954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7811) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 7811) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2024-09-20 |