| NPI | 1720470727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-007505) |
| Additional Taxonomies | 156FX1101X Technician/Technologist, Ophthalmic Assistant |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2020-10-01 |