| NPI | 1831930726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA228541) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2026-01-22 |