| NPI | 1467875922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C05443) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2024-07-24 |