NPI | 1881227866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000X) | |
Enumeration Date | 2020-02-18 |
Last Update Date | 2021-03-16 |