| NPI | 1922670884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8895) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 13181944-1206) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-07-07 |