NPI | 1235961244 |
---|---|
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 |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-08-19 |