NPI | 1144796871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: AZ 7566) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 7566) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-10-20 |
Last Update Date | 2024-05-30 |