NPI | 1740841642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055-0031600) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1590) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-23 |
Last Update Date | 2022-09-13 |