NPI | 1891339040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: VA 0110-007893) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001277) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-10-31 |
Last Update Date | 2023-03-07 |