NPI | 1598247520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.008849) |
Additional Taxonomies | 106S00000X Behavior Technician |
363A00000X Physician Assistant | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-09-06 |
Last Update Date | 2024-06-28 |