NPI | 1528632510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 36827-R) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 15733-I) |
390200000X Student in an Organized Health Care Education/Training Program | |
363AM0700X Physician Assistant, Medical (Licence: PR 1388-PA) | |
Enumeration Date | 2021-05-14 |
Last Update Date | 2024-04-29 |