| NPI | 1437698404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007645A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 28189415A) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2024-07-12 |