NPI | 1033813001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 029753) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00772100) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2025-06-02 |