NPI | 1699338137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007190) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9113357) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-19 |
Last Update Date | 2024-10-01 |