| NPI | 1669858528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 65073) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018843-1) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2025-04-01 |