NPI | 1982095923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MP 094) |
Enumeration Date | 2015-02-12 |
Last Update Date | 2023-04-05 |