NPI | 1225621550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0011584) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011584) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-02-17 |
Last Update Date | 2024-05-13 |