NPI | 1861070484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 117521) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085009650) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-02 |
Last Update Date | 2023-07-24 |