NPI | 1568082170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5319) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 5319-23) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-23 |
Last Update Date | 2024-06-06 |