| NPI | 1417307737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: DC PA031417) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031417) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 1135016) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2025-05-01 |