NPI | 1093001638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 014863) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014863) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-10-04 |