| NPI | 1972258226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004027A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC223) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2023-06-13 |