NPI | 1316434210 |
---|---|
Former Name | CAROLINE HURLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60898310) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: E1751525) |
363AM0700X Physician Assistant Medical (Licence: LICENSE) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2019-06-12 |