| NPI | 1497522510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 37125-R) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 1829-P.A.) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-06-26 |