NPI | 1093944498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06691) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013333) |
363AM0700X Physician Assistant, Medical (Licence: MD C0006691) | |
Enumeration Date | 2009-07-07 |
Last Update Date | 2025-07-17 |