NPI | 1366050791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11524) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 001011524) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-07-22 |
Last Update Date | 2025-08-07 |