NPI | 1275198608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58652) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 58652) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-01 |
Last Update Date | 2022-02-22 |