NPI | 1003332628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 021140) |
Additional Taxonomies | 208800000X Urology (Licence: NY 021140) |
363A00000X Physician Assistant (Licence: NY 021140) | |
363A00000X Physician Assistant | |
Enumeration Date | 2017-08-15 |
Last Update Date | 2020-09-22 |