NPI | 1437714037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031675) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 57421) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-08 |
Last Update Date | 2023-08-29 |