NPI | 1033597075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7515) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018526-1) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2020-08-26 |