NPI | 1629524103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-08-25 |
Last Update Date | 2023-06-01 |