| NPI | 1669191474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PR 1341) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-11-28 |