| NPI | 1982095923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2023-1056) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MP 094) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2024-12-29 |