| NPI | 1700599875 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0010-13493) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-01-03 | 
| Last Update Date | 2024-12-18 |