NPI | 1033515812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 5315) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 18206) |
Enumeration Date | 2014-11-06 |
Last Update Date | 2024-11-19 |