NPI | 1497377428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86007766) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-05-13 |
Last Update Date | 2021-09-26 |