| NPI | 1871241497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 17313-I) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PR 000032) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2025-05-07 |