NPI | 1063291227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12702) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9118012) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-09-27 |
Last Update Date | 2024-11-24 |