| NPI | 1689718967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL2301184) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9104066) |
| 207X00000X Orthopaedic Surgery (Licence: FL PA9104066) | |
| 363A00000X Physician Assistant (Licence: WI 3957) | |
| 363A00000X Physician Assistant (Licence: FL PA9104066) | |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104066) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2023-08-11 |