| NPI | 1942798913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 317170) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2023-07-17 |