| NPI | 1477901122 |
|---|---|
| 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: NV PA1981) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2018-10-11 |