NPI | 1154003358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10687) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ 10687) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-08-07 |
Last Update Date | 2024-10-22 |