| NPI | 1477918332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004188) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 26360536) | |
| Enumeration Date | 2015-12-20 |
| Last Update Date | 2022-07-21 |