| NPI | 1396254207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8503) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 70904) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2021-11-23 |