NPI | 1255912630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 11841) |
Enumeration Date | 2021-04-18 |
Last Update Date | 2023-10-20 |