| NPI | 1528632510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 36827-R) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 15733-I) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363AM0700X Physician Assistant, Medical (Licence: PR 1388-PA) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2024-04-29 |