| NPI | 1760965446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 150342) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 1760965446) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-02-25 |