NPI | 1205202793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 018562) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2020-04-17 |