| NPI | 1609422211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IA 107005) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA 107005) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2024-10-30 |