| NPI | 1780211219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: MN 123897) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2022-09-07 |