| NPI | 1760834600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 318344) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2023-07-17 |