| NPI | 1912529462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008575) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10774) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363A00000X Physician Assistant (Licence: TN 4311) | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-05-28 |