NPI | 1649006024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-09-11 |
Last Update Date | 2024-09-11 |