NPI | 1326787797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12540) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-12540) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-06-02 |
Last Update Date | 2023-01-25 |