| NPI | 1588107924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4809) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006373) |
| 363AS0400X Physician Assistant Surgical (Licence: TN 4809) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2024-01-21 |