| NPI | 1427827914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PR 356-P.A.) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-29 |