NPI | 1497320162 |
---|---|
Former Name | HANNAH CAMILLE RASMUSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9114734) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-05-25 |
Last Update Date | 2023-04-25 |