| NPI | 1851852289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112378) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL PA9112378) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-09-14 |