NPI | 1659060119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PR 502-PA) |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: PR 001288) | |
Enumeration Date | 2023-05-02 |
Last Update Date | 2023-05-02 |