NPI | 1326608894 |
---|---|
Former Name | HANNAH MARJORY PONEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113336) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13396) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-17 |
Last Update Date | 2023-06-27 |