NPI | 1063795789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2456) |
Additional Taxonomies | 174H00000X Health Educator (Licence: CA CBRE Brio) |
175L00000X Homeopath (Licence: NV PBi CPES Certified) | |
363A00000X Physician Assistant | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2023-11-16 |