NPI | 1619616885 |
---|---|
Former Name | ELINOR GABRIELA DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2367) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-06-03 |
Last Update Date | 2022-10-04 |