NPI | 1093463929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-10 |