NPI | 1033626478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 026010) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-01-08 |
Last Update Date | 2023-02-02 |