| NPI | 1538527486 |
|---|---|
| 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: OH 50.009013RX) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2025-05-27 |