NPI | 1619319019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016752) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2022-02-02 |